Abstract

(Objective) The "Japanese guidelines for prevention of perioperative infections in urological field" was edited by the Japanese Urological Association in 2007. They are the first Japanese guidelines for antimicrobial prophylaxis specifically to prevent perioperative infections in the urological field. We report here the results of a multicenter prospective study conducted to examine the validity and usefulness of these guidelines. (Patients and methods) The subjects were 513 patients who had undergone urological surgeries between July and September 2008 at 10 nationwide university institutions in the Japanese Society of UTI Cooperative Study Group. These surgeries were transurethral resection of bladder (TURBT), transurethral resection of prostate (TURP), adrenalectomy, nephrectomy, nephroureterectomy, radical prostatectomy and total cystectomy. Analysis was performed on patient information, surgical procedures, types and durations of administration of prophylactic antibiotic agents, and the presence of surgical site infections (SSI) and remote infections (RI). (Results) Of 513 patients, 387 (75.4%) were administered prophylactic antibiotic agents according to the guidelines. In these patients, the incidences of SSI and RI were 5.9% and 4.1%, respectively. Multivariate analysis showed that significant factors for SSI were the surgical risk (according to the ASA physical status classification system), diabetes, and operation time, and that the only significant factor for RI was the operation time. (Conclusions) More large-scale study and evidences are necessary in order to demonstrate the validity and usefulness of these guidelines.

title = "A prospective multi-institutional analysis according to the {"}Japanese guidelines for prevention of perioperative infections in urological field{"}",

abstract = "(Objective) The {"}Japanese guidelines for prevention of perioperative infections in urological field{"} was edited by the Japanese Urological Association in 2007. They are the first Japanese guidelines for antimicrobial prophylaxis specifically to prevent perioperative infections in the urological field. We report here the results of a multicenter prospective study conducted to examine the validity and usefulness of these guidelines. (Patients and methods) The subjects were 513 patients who had undergone urological surgeries between July and September 2008 at 10 nationwide university institutions in the Japanese Society of UTI Cooperative Study Group. These surgeries were transurethral resection of bladder (TURBT), transurethral resection of prostate (TURP), adrenalectomy, nephrectomy, nephroureterectomy, radical prostatectomy and total cystectomy. Analysis was performed on patient information, surgical procedures, types and durations of administration of prophylactic antibiotic agents, and the presence of surgical site infections (SSI) and remote infections (RI). (Results) Of 513 patients, 387 (75.4%) were administered prophylactic antibiotic agents according to the guidelines. In these patients, the incidences of SSI and RI were 5.9% and 4.1%, respectively. Multivariate analysis showed that significant factors for SSI were the surgical risk (according to the ASA physical status classification system), diabetes, and operation time, and that the only significant factor for RI was the operation time. (Conclusions) More large-scale study and evidences are necessary in order to demonstrate the validity and usefulness of these guidelines.",

author = "Koichiro Wada and Shinya Uehara and Shinichiro Kira and Masahiro Matsumoto and Takehiko Sho and Yuichiro Kurimura and Jiro Hashimoto and Teruhisa Uehara and Takashi Yamane and Sojun Kanamaru and Yoshikazu Togo and Rikiya Taoka and Akira Takahashi and Yusuke Yamada and Akira Yokomizo and Mitsuru Yasuda and Kazushi Tanaka and Ryoichi Hamasuna and Satoshi Takahashi and Hiroshi Hayami and Toyohiko Watanabe and Koichi Monden and Hiroshi Kiyota and Takashi Deguchi and Seiji Naito and Taiji Tsukamoto and Soichi Arakawa and Masato Fujisawa and Shingo Yamamoto and Hiromi Kumon and Tetsuro Matsumoto",

year = "2013",

month = may,

doi = "10.5980/jpnjurol.104.505",

language = "English",

volume = "104",

pages = "505--512",

journal = "Japanese Journal of Urology",

issn = "0021-5287",

publisher = "THE JAPANESE UROLOGICAL ASSOCIATION",

number = "3",

}

TY - JOUR

T1 - A prospective multi-institutional analysis according to the "Japanese guidelines for prevention of perioperative infections in urological field"

AU - Wada, Koichiro

AU - Uehara, Shinya

AU - Kira, Shinichiro

AU - Matsumoto, Masahiro

AU - Sho, Takehiko

AU - Kurimura, Yuichiro

AU - Hashimoto, Jiro

AU - Uehara, Teruhisa

AU - Yamane, Takashi

AU - Kanamaru, Sojun

AU - Togo, Yoshikazu

AU - Taoka, Rikiya

AU - Takahashi, Akira

AU - Yamada, Yusuke

AU - Yokomizo, Akira

AU - Yasuda, Mitsuru

AU - Tanaka, Kazushi

AU - Hamasuna, Ryoichi

AU - Takahashi, Satoshi

AU - Hayami, Hiroshi

AU - Watanabe, Toyohiko

AU - Monden, Koichi

AU - Kiyota, Hiroshi

AU - Deguchi, Takashi

AU - Naito, Seiji

AU - Tsukamoto, Taiji

AU - Arakawa, Soichi

AU - Fujisawa, Masato

AU - Yamamoto, Shingo

AU - Kumon, Hiromi

AU - Matsumoto, Tetsuro

PY - 2013/5

Y1 - 2013/5

N2 - (Objective) The "Japanese guidelines for prevention of perioperative infections in urological field" was edited by the Japanese Urological Association in 2007. They are the first Japanese guidelines for antimicrobial prophylaxis specifically to prevent perioperative infections in the urological field. We report here the results of a multicenter prospective study conducted to examine the validity and usefulness of these guidelines. (Patients and methods) The subjects were 513 patients who had undergone urological surgeries between July and September 2008 at 10 nationwide university institutions in the Japanese Society of UTI Cooperative Study Group. These surgeries were transurethral resection of bladder (TURBT), transurethral resection of prostate (TURP), adrenalectomy, nephrectomy, nephroureterectomy, radical prostatectomy and total cystectomy. Analysis was performed on patient information, surgical procedures, types and durations of administration of prophylactic antibiotic agents, and the presence of surgical site infections (SSI) and remote infections (RI). (Results) Of 513 patients, 387 (75.4%) were administered prophylactic antibiotic agents according to the guidelines. In these patients, the incidences of SSI and RI were 5.9% and 4.1%, respectively. Multivariate analysis showed that significant factors for SSI were the surgical risk (according to the ASA physical status classification system), diabetes, and operation time, and that the only significant factor for RI was the operation time. (Conclusions) More large-scale study and evidences are necessary in order to demonstrate the validity and usefulness of these guidelines.

AB - (Objective) The "Japanese guidelines for prevention of perioperative infections in urological field" was edited by the Japanese Urological Association in 2007. They are the first Japanese guidelines for antimicrobial prophylaxis specifically to prevent perioperative infections in the urological field. We report here the results of a multicenter prospective study conducted to examine the validity and usefulness of these guidelines. (Patients and methods) The subjects were 513 patients who had undergone urological surgeries between July and September 2008 at 10 nationwide university institutions in the Japanese Society of UTI Cooperative Study Group. These surgeries were transurethral resection of bladder (TURBT), transurethral resection of prostate (TURP), adrenalectomy, nephrectomy, nephroureterectomy, radical prostatectomy and total cystectomy. Analysis was performed on patient information, surgical procedures, types and durations of administration of prophylactic antibiotic agents, and the presence of surgical site infections (SSI) and remote infections (RI). (Results) Of 513 patients, 387 (75.4%) were administered prophylactic antibiotic agents according to the guidelines. In these patients, the incidences of SSI and RI were 5.9% and 4.1%, respectively. Multivariate analysis showed that significant factors for SSI were the surgical risk (according to the ASA physical status classification system), diabetes, and operation time, and that the only significant factor for RI was the operation time. (Conclusions) More large-scale study and evidences are necessary in order to demonstrate the validity and usefulness of these guidelines.